Active NPI
Hyndman Area Rescue Squad
- Ambulance
- Hyndman, PA
National Provider Identifier
1215023510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 03228
- Legal business name
- HYNDMAN AREA RESCUE SQUAD
- Practice address
- 164 Market Street
Hyndman, PA 15545 - Phone
- (814) 842-6755
- Fax
- (814) 842-6755
- NPI assigned
- Oct 5, 2006
- Last updated
- Mar 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Terry Lee Jordan
- Title
- Treasurer
- Phone
- (814) 842-6398
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 03228 | PA | Primary |
Addresses
Primary practice location
164 Market Street
Hyndman, PA 15545
Mailing address
892 New Castle Rd
Slippery Rock, PA 16057-4228
Phone (800) 280-5974
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590002475 | Other | PA | RR MEDICARE |
| 0007658810002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070330000025 | PA | Part B Supplier - Ambulance Service Supplier | 7618071747 | Practice locations: Hyndman, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2138246 | Hyndman Area Rescue Squad | Certificate of waiver | Oct 11, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709510400000",
"number": "1215023510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "892 NEW CASTLE RD",
"city": "SLIPPERY ROCK",
"state": "PA",
"postal_code": "160574228",
"telephone_number": "800-280-5974",
"fax_number": "724-234-4703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 MARKET STREET",
"city": "HYNDMAN",
"state": "PA",
"postal_code": "15545",
"telephone_number": "814-842-6755",
"fax_number": "814-842-6755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HYNDMAN AREA RESCUE SQUAD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "814-842-6398",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PA",
"license": "03228",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590002475",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007658810002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hyndman, PA
- Brittany Harden
- Hyndman Area Health Center, Inc
- Hyndman Area Health Center, Inc
- Hyndman Area Health Center, Inc.
- Hyndman Area Health Center, Inc. (Bedford Family Health Center)
- Daniel Norman Iseminger, RPH
- Bobbi Ann McAllister, PAC
- Cassidy McCutchen
- Kelly Jo McGee, MSN, APRN, FNP-C
- Vanessa Katherine Messenger
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.